摘要
目的调查西藏林芝地区边防部队就诊官兵的病种情况,了解不同专科病种构成特点及在不同时间常见疾病的分布情况,为优化林芝地区边防部队医疗卫生资源的配置提供参考。方法分析林芝地区某边防部队2019-01/2020-12月到卫生所及作者医院对口帮扶巡诊医疗队就诊官兵的相关临床信息,根据内科、外科、专科就诊情况对临床数据进行分类。结果就诊官兵共932人次,最终纳入符合要求数据705人次。从2019~2020年西藏林芝地区边防部队就诊官兵疾病顺位来看,前6位系统疾病为上呼吸道感染、消化系统急慢性炎症、睡眠障碍、损伤和中毒、肌肉骨骼系统和循环系统疾病。内科最常见病种是呼吸道感染、消化系统急慢性炎症和睡眠障碍,共占全部内科疾病的89.68%(443/494)。消化系统疾病,以急性胃肠炎为主,发病高峰时间为夏季的7、8、9月份;呼吸系统疾病发病高峰出现在春夏、秋冬交替的3、4月份和10、11月份。外科最常见病种是骨科疾病、普通外科疾病,共占全部外科疾病的80.28%(114/142)。骨科疾病在5、6、7、8、9月份发病例数占全年骨科疾病总数的78.57%(44/56),而普通外科疾病在3、6、7、8、9月份发病总数占全年普通外科疾病总数的79.31%(46/58)。专科前3位病种是皮肤科疾病、口腔科疾病和耳鼻喉科疾病。皮肤病以日光性皮炎为主要疾病,8、9两个月发病率最高;口腔科疾病以口腔粘膜溃疡与牙周疾病为主;耳鼻喉科疾病1~4月份发病率较高。结论林芝地区边防部队常驻官兵病种以呼吸系统、消化系统、骨科、普通外科、皮肤科、口腔科疾病最为常见,各种疾病发病规律与海拔高度及季节变化密切相关,建议今后卫勤力量的配置和内地对口帮扶力量派驻可以此为基础,更精准高效地服务高原边防官兵。
Objective To investigate the disease types of officers and soldiers in a border defense force in Nyingchi re-gion of Tibet,analyze the composition characteristics of different specialties and the distribution of common diseases at different time,so as to provide reference for optimizing the allocation of medical and health resources for plateau frontier defense forces.Methods The relevant clinical information of officers and soldiers of a border force in Nyingchi region who visited the health clnic and author's hospital helped visiting medical team from January 2019 to December 2020 were analyzed,and the clinical da-ta were categorized according to treatment condition of internal medicine,surgery and specialty.Results A total of 932 officers and soldiers were treated,including 705 cases that met the requirements.From 2019 to 2020,the top 6 system diseases were upper respiratory tract infection,acute and chronic inflammation of the digestive system,sleep disorders,injury and poisoning,musculo-skeletal system diseases and circulatory system diseases in the frontier troops of Nyingchi region of Tibet.The most common diseases in internal medicine were respiratory tract infection,acute and chronic inflammation of digestive system and sleep disorders,ac-counting for 89.68%(443/494)of all internal medicine diseases.Acute gastroenteritis was the main disease in digestive system diseases,and the peak time of the incidence was July,August and September in summer;the incidence of respiratory diseases peaked in March,April and October,No-vember,when spring,summer and autumn,winter alternated.The most common surgical diseases were orthopedic diseases and general surgery diseases,accounting for 80.28%(114/142)of all surgical diseases.The incidence of orthopedic diseases in May,June,July,August and September accounted for 78.57%(44/56)of the total number of orthopedic diseases in the whole year,while the incidence of general surgery diseases in March,June,July,August and September accounted for 79.31%(46/58)of the total number
作者
余锋
徐伟才
程祺
徐健
姚豪杰
罗昆仑
王东
YU Feng;XU Weicai;CHENG Qi;XU Jian;YAO Haojie;LUO Kunlun;WANG Dong(Department of General Surgery,NO.904 Hospital of Joint Logistics Support Force of People's Liberation Army,Wuxi Jiangsu 214044,China)
出处
《联勤军事医学》
CAS
2024年第3期233-237,共5页
Military Medicine of Joint Logistics
基金
“十二五”军队心理卫生应用性项目(12XL101)
无锡市科技发展资金(wx03-02B0205-072001-10)。
关键词
高原地区
军事人员
疾病谱
军事卫勤
诊断
High altitude district
Military personnel
Disease spectrum
Military medical support
Diagnosis
